HomeMy WebLinkAboutMechanical 03-0103
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 5/03
Date Rec'd
I. Pink
2. Green
3. Yellow
~:;y I PERMIT NO.03 - , A--:J \
Apphcanl . l..I\..:)
G.te&.t~ ~~ fLd
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ADDITION
OWNE~
(Name) ~\ 1Sc.tuO....~r-
(Address) 4 cr c..{ ~ :l-
(Phone) 9C;~ - 440 . 3'> 1"2-
.(\I:lBU~TT
(NMRe)
\r~' 9:;2 '-19i ?~i[Jl
(City)
~lli If), 9~t? '11 p- h ~ (; '7
,-. a"E
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
_~JA1~i!~~ .J) M-I 7/). {)t){J 8TLL~L Nl.rr
FLUE SIZE J..j" RETURN OPENINGS fl1)<. / t-- INPUT 11'. t.f /) 0 OUTPUT ",[ iI' [/
.
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace ~~
$39.50 minimum S \!.~):J
$99.50 Residential, Additions&,AI> "t. ~ \\~ 'to
$64.50 Residential, AC On' lS ~t~ \)\)~ 11.~~~
'S\t OS~\) ~I\ 6
Building Permit # _ CV C't\\f\'t~
"8 9,5 \~~
.~
L{ OJ ~
$
$
$
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
, Official
Date
Paid Lft) ~ -
Date I'" (;)1- g
B
..t()ffice Use On~"\
,on Becomes Your Building Permit When Approved
.\;.\ ,All".'
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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